Hi! I´m an austrian nurse and currently writing a paper comparing the austrian and american critical care nurse competencies in managing the acute myocardial infarct. I´m especially interressted in further roles/competencies a registred nurse can get after doing her CCRN certification. As far as i know has every U.S. state its own care act which regulates the roles of (critical care) nurses. Have special trained nurses with CCRN certification an extended scope of nursing in the ICU setting? For example at the care of an acute myocardial infarction like insertion of centralvenous catheders, assistance in the corangiography or echocardiography? Can you provide me some useful links/ressorces? Thanks for your time, excuse my not-so-flawless english and thanks for your help Greetings Robert Zeilinger, Critical Care Nurse Austria